(SIGNATURE OF THE APPLICANT)

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1 APPLICATION FOR REGISTRATION OF IMPORTERS Under Rule 35 of the Standards of Weights & Measures (Packaged Commodities) Rules, Name of the applicant (Firm/Company) 2. Complete address (including district) PIN District. 3. Addresses of warehouses where the goods are imported and kept. District PIN 4 Details of the packaged commodities being imported / to be imported along with the country from where it is to be imported Name and address of all the Directors/ partners / proprietor of the company / firm Date : Place : (SIGNATURE OF THE APPLICANT) Fees receipt No.

2 ACKNOWLEDGEMENT Received an application for registration under Rule 35 of the Standards of Weights & Measures (Packaged Commodities) Rules, 1977 from r/o dated. SIGNATURE

3 GUIDELINES 1. The application form together with cash of Rs in case of new registration and Rs in case of amendment in the registration certificate should be deposited at the Weights & Measures Department, Room No. 09, C-Block, Vikas Bhawan, I.P. Estate, New Delhi The fees can also be paid by a Demand Draft in favour of Controller, Weights & Measures Department, Govt. of NCT of Delhi. 2. In S. No. 2 the complete address at which the registered office of the company / firm is situated is to be mentioned including the name of the street, number assigned to the premises of the manufacturer / packer / Importer. 3. In case of a concern having more than one unit / factory the registration in respect of the registered office of the company / firm only is necessary. 4. For addition of any new pre-packaged commodities to be manufactured / packed / imported in future the original certificate has to be submitted to the department along with the requisite fees for issue of revised certificate. 5. The self-attested photocopies of the following documents should be submitted along with the form : - a. Licence for trade / manufacture / Factory / Lal Dora certificate from MCD / NDMC / DDA etc. b. Residential Address proof of the proprietors/ directors / partners like voter ID card, passport etc. c. Two copies of the photographs of the proprietors / partners / Directors. One copy to be pasted on the application form. d. Sales Tax registration. e. Packing material / Slip / Sticker / Label which is being pasted on the packages. f. Memorandum of Association of the Company, Partnership deed in respect of Partnership firms. g. Import-Export Code in case of the importers. h. Supplementary form as annexure. i. A good quality self addressed envelope of size 12 cm X 25 cm with Rs. 32/- postage stamp duly affixed on it. The name of the firm should be mentioned on the envelope instead of name of the proprietor / partner / Directors. 6. The application should be submitted by the applicant in person or through his / her or firms authorized representative. Incomplete application will not be accepted. 7. The Certificate of registration will be sent to the applicant by registered post only. In no case it will be handed over to the applicant or his / her authorized representative.

4 ANNEXURE 1. Name of the firm SUPPLEMENTARY FORM FOR REGISTRATION UNDER RULE 35 OF STANDARDS OF WEIGHTS & MEASURES (PACKAGE COMMODITIES) RULES, Address of the firm 3. Date of commencement of pre-packing / import 4. Declarations which are made on the package (Please Tick) (a) Name & complete address of the registered office of the firm / partnership firm / company (b) Maximum retail price (inclusive of all taxes) Rs (c) Date of manufacturing / packing / import (d) Date of expiry in case of food items (e) Net contents in terms of weights / volume / length (f) Generic name of the commodity 6. Quantities in which packing is made i.e below 5 g, 5 g, 10 g, 20 g, etc (Please specify) 7. Whether the packing is made in Standard quantities as specified in Standards of Weights & Measures (Packaged Commodities) Rules, Whether the package is a combination package or group package or multi-piece package. Please specify. 9. Whether the package is a retail package or whole sale package 10. Whether the package contains perishable commodity or food items 11. Whether the packed items will also be exported out of country

5 12. Whether the items are being packed for specific industry only as raw material. If yes, specify 13. Whether the package contains fast food items. 14. Whether the package contains any schedule / non-scheduled formulations covered under the Drugs (price control) order or any agricultural farm produces of 50 kg and above. 8. Whether the shop / factory / warehouse is located in area declared as residential / non-conforming? 9. Whether the shop / factory is located in commercial area? If yes, attach proof Yes No 10. Whether the shop / factory / premises is owned / rented 11. The date on which your premises was last inspected by the inspector of W & M Department. Attach copy of the inspection report, if available 12. Whether your firm has been challaned during the last three years for any violation of Weights & Measures laws. If yes, date of challan. Attach copy of notice if available. 13. Offences for which challaned and whether it is compounded or not. Attach receipt if available. I / We hereby solemnly affirm and declare that the information in this form are true to the best of my/our knowledge and belief. Signature : Name of Applicant: (Prop. / Partner / Director / Karta of HUF) Date :

6 AFFIDAVIT I, s/o r/o, do hereby solemly affirm and declare as under : 1. That I am the citizen of India. 2. That I am having a place of business located at and manufacturing / packing unit / warehouse located at : a. b. c. 3. That the above mentioned business premises are not located in nonconforming areas and / or is not likely to be sealed by the MCD or relocated. No notice for sealing / demolition / relocation has been served upon me / us by the local municipal authority. 4. That in case any sealing / demolition / relocation is carried out in r/o the above business premises, I will inform the Weights & Measures Department immediately. VERIFICATION : DEPONENT Verified at New Delhi / Delhi, on, that the contents of this affidavit are true and correct to the best of my knowledge and belief and nothing has been concealed there from. DEPONENT

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